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MATTHEW JAY BLOCKSOM
NPI 1134052616
Student in an Organized Health Care Education/Training Program in Demorest, GA

Active since June 04, 2026
1021 CENTRAL AVE, DEMOREST, GA 30535(706) 778-3000 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Jay Blocksom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW JAY BLOCKSOM (NPI 1134052616) is an individual student in an organized health care education/training program in Demorest, Georgia and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1134052616
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW JAY BLOCKSOM
Location Address1021 CENTRAL AVEDemorest, GA 30535-5252
Mailing Address1021 Central AveDemorest, GA 30535-5252 · (706) 778-3000
Phone(706) 778-3000
Sole ProprietorNo
Enumeration DateJune 4, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1134052616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1021 CENTRAL AVE, Demorest, GA 30535
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY BRAUN MSED, LAT, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1021 CENTRAL AVE
DEMOREST, GA 30535
Habersham County (706) 778-3000
DR. REBECCA ABIGAIL DONDANVILLE ATC, EDD
Specialist/Technologist (Athletic Trainer)
1021 CENTRAL AVE
DEMOREST, GA 30535
Habersham County (706) 778-8500
MR. JEREMY FOUTS EDS, MS, ATC
Specialist/Technologist (Athletic Trainer)
1021 CENTRAL AVE
DEMOREST, GA 30535
Habersham County (706) 776-0116
MARIO N DALESANDRO MS, ATC
Physical Medicine & Rehabilitation (Sports Medicine)
1021 CENTRAL AVE
DEMOREST, GA 30535
Habersham County (706) 778-3000
STEPHANIE SMART
Specialist/Technologist (Athletic Trainer)
1021 CENTRAL AVE
DEMOREST, GA 30535
Habersham County (706) 778-3000
GABRIELLA LOTTER
Specialist/Technologist (Athletic Trainer)
1021 CENTRAL AVE
DEMOREST, GA 30535
Habersham County (706) 778-3000
SLOAN FLETCHER
Specialist/Technologist (Athletic Trainer)
1021 CENTRAL AVE
DEMOREST, GA 30535
Habersham County (706) 778-3000
MAXWELL S MILLER
Specialist/Technologist (Athletic Trainer)
1021 CENTRAL AVE
DEMOREST, GA 30535
Habersham County (502) 498-9730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Blocksom's NPI number?

The NPI number for Matthew Blocksom is 1134052616. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Matthew Blocksom located?

Matthew Blocksom practices at 1021 Central Ave, Demorest, GA 30535. The listed phone number is (706) 778-3000.

What is Matthew Blocksom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Matthew Blocksom was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.